<div class="layui-form" lay-filter="layPopup" style="padding: 20px 30px 0 0;">
    <div class="layui-form-item">
        <label class="layui-form-label">订单编号</label>
        <div class="layui-input-inline" style="width: 220px">
            <script template type="text/html">
                <input type="text" name="order_number" value="" placeholder="请输入订单编号" autocomplete="off"
                       class="layui-input" lay-verify="required">
            </script>
        </div>
    </div>
	<div class="layui-form-item">
	    <label class="layui-form-label">店铺</label>
	    <div class="layui-input-inline" style="width: 220px" id="orderPopupShopXmSelect"></div>
	</div>
	<div class="layui-form-item">
	    <label class="layui-form-label">订单金额</label>
	    <div class="layui-input-inline" style="width: 220px">
	        <script template type="text/html">
	            <input type="number" name="price" value="" placeholder="请输入订单金额" autocomplete="off"
	                   class="layui-input" lay-verify="required">
	        </script>
	    </div>
	</div>
    <div class="layui-form-item">
        <label class="layui-form-label">实付金额</label>
        <div class="layui-input-inline" style="width: 220px">
            <script template type="text/html">
                <input type="number" name="cash" value="" placeholder="请输入实付金额" autocomplete="off"
                       class="layui-input" lay-verify="required">
            </script>
        </div>
    </div>
	<div class="layui-form-item">
	    <label class="layui-form-label">购买数量</label>
	    <div class="layui-input-inline" style="width: 220px">
	        <script template type="text/html">
	            <input type="number" name="num" value="" placeholder="请输入购买数量" autocomplete="off"
	                   class="layui-input" lay-verify="required">
	        </script>
	    </div>
	</div>
	<div class="layui-form-item">
	    <label class="layui-form-label">下单日期</label>
	    <div class="layui-input-inline" style="width: 220px">
	        <script template type="text/html">
	            <input class="layui-input" id="orderDate" readonly name="order_time" placeholder=" - "
	                   render="time" type="text">
	        </script>
	    </div>
	</div>
	<div class="layui-form-item">
		<label class="layui-form-label">来源</label>
		<div class="layui-input-inline" style="width: 220px">
			<select name="source" lay-search>
				<option value="1">淘宝</option>
				<option value="2">京东</option>
				<option value="3">抖音</option>
				<option value="4">拼多多</option>
			</select>
		</div>
	</div>
	<input type="hidden" id="shop_id" name="shop_id" value="0">
	<input type="hidden" id="shop_name" name="shop_name" value="">
    <div class="layui-form-item">
        <label class="layui-form-label"></label>
        <div class="layui-input-inline">
            <input class="layui-btn" lay-filter="laySubmitAdd" lay-submit type="button" value="确认">
        </div>
    </div>
</div>
<script lay-done="layui.data.sendParams(d.params)" template type="text/html"></script>
<script src="../web/res/js/order/Index/other.js"></script>
